The Cost-effectiveness Analysis of Nurse-Family Partnership in the United States

We evaluated whether Nurse-Family Partnership might serve as a cost-effective social policy for improving health. Using data from studies of randomized controlled trials as well as real-world data, we conducted a Monte Carlo simulation to estimate cost-effectiveness of Nurse-Family Partnership in a...

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Bibliographic Details
Published in:Journal of health care for the poor and underserved 2017-11, Vol.28 (4), p.1578-1597
Main Authors: Wu, Jinjing, Dean, Kelsey S, Rosen, Zohn, Muennig, Peter A
Format: Article
Language:English
Subjects:
Access to information
Child abuse & neglect
Child, Preschool
Children
Clinical trials
Cohort Studies
Computer simulation
Confidence intervals
Cost analysis
Cost control
Cost-Benefit Analysis
Costs
Families & family life
Family Nursing - economics
Female
Health care expenditures
Health Policy - economics
High risk
Humans
Infant
Infant, Newborn
Investments
Low income groups
Maternal-Child Nursing - economics
Medicaid
Medical research
Monte Carlo simulation
Mothers
Nurse patient relationships
Nurses
Partnerships
Patient Protection & Affordable Care Act 2010-US
Pregnancy
Professional-Family Relations
Program Evaluation
Quality adjusted life years
Quality of life
Savings
Simulation
Social factors
Social policy
United States
Womens health
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Summary:We evaluated whether Nurse-Family Partnership might serve as a cost-effective social policy for improving health. Using data from studies of randomized controlled trials as well as real-world data, we conducted a Monte Carlo simulation to estimate cost-effectiveness of Nurse-Family Partnership in a hypothetical cohort of first-born children in the United States. Analyses were conducted in 2015. Were all new mothers eligible for Nurse-Family Partnership, the program would produce 0.11 QALYs (95% confidence interval [CI]=0.06, 0.17) at an additional cost of $1,021 (95% CI=-$2,831, $4,414) per nurse-visited child's lifetime relative to the comparison-group children or $14,642 (95% CI = Savings, $71,877) per QALY gained. However, if applied to high-risk mothers, it would generate 0.19 QALYs (95% CI = 0.09, 0.44) and a net benefit of $2,764 (95% CI =-$1,210, $7,092) per nurse-visited child. Nurse-Family Partnership should be considered as a policy investment, particularly in an era of investments in the social determinants of health.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2017.0134